Healthcare Provider Details

I. General information

NPI: 1578487013
Provider Name (Legal Business Name): THE HEARTHSTONE HOUSE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/06/2026
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13410 136TH STREET CT NW
GIG HARBOR WA
98329-5646
US

IV. Provider business mailing address

13410 136TH STREET CT NW
GIG HARBOR WA
98329-5646
US

V. Phone/Fax

Practice location:
  • Phone: 425-943-0258
  • Fax:
Mailing address:
  • Phone: 425-943-0258
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253J00000X
TaxonomyFoster Care Agency
License Number
License Number State

VIII. Authorized Official

Name: ANISA HANNACK
Title or Position: VP
Credential:
Phone: 425-943-0258